SPECIALEYES OPTICAL, LLC (NPI# 1821564964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821564964 |
| Entity Type | Organization |
| Organization Name | SPECIALEYES OPTICAL, LLC |
| Practice Address |
2212 Emery St Denton TX 76201-1100 |
| Mailing Address |
321 S Henderson St Fort Worth TX 76104-1016 |
| Practice Telephone | 9403125900 |
| Practice Fax Number | 9403125901 |
| Mailing Telephone | 8175299929 |
| Mailing Fax Number | 8175299927 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | LORETTA TAYLOR (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 8175299949 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 145291402 | 05 | |
| TX | 323588905 | 05 | |
| TX | 207716601 | 05 | |
| TX | 287401803 | 05 | |
| TX | 166926901 | 05 | |
| TX | 018440004 | 05 | |
| TX | 294486001 | 05 | |
| TX | 375326101 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124573092 | Specialeyes Optical, LLC | Optometrist | 1106 Alexis Ct, Mansfield, TX 76063-3338 | 2016-08-22 |
| 1679028542 | Specialeyes Optical, LLC | Optometrist | 105 River Oakes Dr., Southlake, TX 76092 | 2016-08-22 |
| 1891150058 | Specialeyes Optical, LLC | Optometrist | 321 S Henderson St, Fort Worth, TX 76104-1016 | 2015-12-15 |
| Street Address |
2212 EMERY ST |
| City | DENTON |
| State | TX |
| Zip Code | 76201-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779885 | Darren Duy Pham | Optometrist | 1800 W Chestnut St # 101, Denton, TX 76201 | 2020-01-12 |
| 1184276032 | Daniel Max & Marc Andrea LLC | Optometrist | 2505 W University Dr #1015, Denton, TX 76201 | 2019-07-11 |
| 1396254975 | Ideal Dental of Denton Pllc | Dentist | 2200 W University Drive, Suite 120, Denton, TX 76201 | 2017-09-26 |
| 1861919144 | Mary Lenore Garcia | Nurse Practitioner | 2435 W. Oak St., Suite 103, Denton, TX 76201 | 2017-08-28 |
| 1275065724 | Daneydy Hernandez | Dietitian, Registered | 721 Locust St., Denton, TX 76201 | 2017-04-03 |
| 1073998118 | National Vision, Inc. | Technician/Technologist | 2600 W University Dr, Ste 1240, Denton, TX 76201 | 2015-07-29 |
| 1326420555 | Brittany Ann Ortiz | Occupational Therapist | 2620 Scripture Street, Denton, TX 76201 | 2015-06-24 |
| 1932581253 | Kim Tien Blois | Optometrist | 1800 W Chestnut St Ste 101, Denton, TX 76201 | 2015-06-23 |
| 1679969257 | Allison Haffey | Physical Therapist | 26260 Scripture St, Denton, TX 76201 | 2015-04-10 |
| 1982001319 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1510 W Hickory St, Denton, TX 76201 | 2014-12-01 |
| Find all providers in zip 76201 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463522 | Mel Vision LLC | Optometrist | 2505 W University Dr # 1015, Denton, TX 76201-1629 | 2020-10-02 |
| 1376159954 | Azsa Loren Lopez Manio | Optometrist | 2610 W University Dr Ste 1240, Denton, TX 76201-1627 | 2020-09-19 |
| 1235779885 | Darren Duy Pham | Optometrist | 1800 W Chestnut St # 101, Denton, TX 76201 | 2020-01-12 |
| 1184276032 | Daniel Max & Marc Andrea LLC | Optometrist | 2505 W University Dr #1015, Denton, TX 76201 | 2019-07-11 |
| 1174070320 | Luke Crader | Optometrist | 2430 S I 35 E Ste 156, Denton, TX 76205-4989 | 2016-09-06 |
| 1750731253 | Nto Denton, Pllc | Optometrist | 2430 S I 35 E, Suite 156, Denton, TX 76205-4986 | 2016-06-15 |
| 1699140665 | Denton Eyedoctors | Optometrist | 207 W Hickory St Ste 102, Denton, TX 76201-4147 | 2015-12-02 |
| 1932581253 | Kim Tien Blois | Optometrist | 1800 W Chestnut St Ste 101, Denton, TX 76201 | 2015-06-23 |
| 1639482615 | Spectrum Vision, Pllc | Optometrist | 2201 S I-35 E Ste D, Denton, TX 76205-8191 | 2010-07-20 |
| 1801022504 | Randy Anthony Wiebelhaus | Optometrist | 2430 S I-35 E # South, Suite 156, Denton, TX 76205-4986 | 2009-06-09 |
| Find all providers in DENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.